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Modified Work Agreement Employee Acknowledgement I, , understand and agree to work within the limits as prescribed by the treating physician listed below. Medical provider: The following work activities.

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In order for an administrative judge to consider a light-duty job offer in assigning an earning capacity to an employee, he must find that the offer is "bona fide." This means that the job must 1) be available and 2) the employee must be able to do it.

What exactly is a bona fide offer of employment? It is an employer's letter offering modified or alternate work to an employee within his/her medical restrictions.

Bona Fide Offer of Employment means a definite offer paying wages of at least the applicable state minimum wage. The employment may be on a shift; full or part-time up to 40 hours per week; and temporary, seasonal or permanent.

A modified schedule may involve adjusting arrival or departure times, providing periodic breaks, altering when certain functions are performed, allowing an employee to use accrued paid leave, or providing additional unpaid leave.

Replacing broken faucets, light bulbs, cracked mirrors, or repairing/ caulking windows that may be not closing properly can also help. These jobs can in clued answering the phone, taking sales orders from clients, copying materials for files, or scanning paperwork for example.

Employees can work a maximum of 90 days within a 12-month period. In some cases, if the treating doctor provides evidence that the employee can return to his or her regular position after an additional 90 days, the employee can work an additional 90 days of light duty work.

If your employer refuses to accommodate your need for work restrictions that result from an injury-related disability, you should speak with a lawyer about your legal rights. The same is true if your employer truly cannot accommodate your work restrictions for any reason.

Modified work – Work in which obstacles that may keep you from performing your essential job functions are adapted, altered or removed. Light duty work – Work in which the job is executed at reduced physical levels. Tasks can be temporary or permanent.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232